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目的探讨延续护理对持续性非卧床腹膜透析(CAPD)患者生活质量的影响。方法选取进行CAPD的患者238例,随机分为对照组和观察组各119例。住院期间,两组均采用腹膜透析常规护理;出院后,观察组给予延续性护理服务。在延续性护理第6周,第12周分别比较两组的腹膜炎发生率,自我管理能力和生活质量。结果在延续性护理第6周和第12周,观察组的腹膜炎发生率明显低于对照组,生活质量水平显著提高(P<0.05)。在延续性护理第6周,观察组患者的自我管理能力和对照组比较差异无统计学意义(P>0.05),但在第12周时,与对照组相比差异有统计学意义(P<0.05)。结论对持续性非卧床腹膜透析患者进行延续性护理可减少患者腹膜炎的发生率,提高患者的自我管理能力和生活质量。
Objective To investigate the effect of extended nursing on quality of life in patients with continuous ambulatory peritoneal dialysis (CAPD). Methods 238 patients with CAPD were randomly divided into control group and observation group of 119 cases. During the hospitalization period, both groups were given routine peritoneal dialysis care; after discharge, the observation group were given continuous nursing services. At the 6th week and the 12th week of continuous nursing, the incidence of peritonitis, self-management ability and quality of life were compared between the two groups. Results In the sixth and twelfth week of continuous nursing, the incidence of peritonitis in observation group was significantly lower than that in control group, and the quality of life was significantly improved (P <0.05). At the 6th week of continuous nursing, there was no significant difference in self-management ability between the observation group and the control group (P> 0.05), but there was significant difference between the observation group and the control group at the 12th week (P < 0.05). CONCLUSIONS: Continuous nursing of continuous ambulatory peritoneal dialysis patients can reduce the incidence of peritonitis in patients and improve their self-management ability and quality of life.